| NPI | 1063944684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HOLMES Psychotherapist 734-834-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017177) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2017-04-02 |